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In addition to its biosynthesis, L-carnitine can also be obtained from the diet, where in the gut L-carnitine can either be directly absorbed or converted to GBB or crotonobetaine by bacteria residing in more distal gut segments

'This isn't a failing of the medicines - it reflects the nature of obesity as a chronic, relapsing condition

doi: 10.1016/j.peptides.2021.170683 9 WolfeMMZhaoKBGlazierKDJarboeLATsengCC

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